Fairbanks Community Mental Health Services, LLC

NPI #1396417325 in Fairbanks, Alaska

Provider Information

NPI Number
1396417325
Entity Type
Organization
Organization Name
Fairbanks Community Mental Health Services, LLC
Primary Specialty
Counselor - Professional
Enumeration Date
Sep 28, 2021
Last Updated
Sep 28, 2021

Practice Location

Address
1521 HILTON AVE
State
Alaska
ZIP Code
99701-4015
Phone
(907) 563-1000

Authorized Official

Name
ASHLEY EVENSON
Title
BILLING MANAGER
Phone
(907) 261-5317

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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